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. Author manuscript; available in PMC: 2024 Sep 1.
Published in final edited form as: Clin Gastroenterol Hepatol. 2023 May 8;21(10):2462–2472. doi: 10.1016/j.cgh.2023.04.030

Table 4. Average costs of different therapeutic options for functional dyspepsia.

Prices of screening and diagnostic tests performed in Washington, DC (selected as an example) were obtained from a publicly available website (https://www.fairhealthconsumer.org/) and include facility fees. Estimates are based on the 80th percentile and correspond to in-network costs. Prices of medications were obtained from a publically available website (https://www.goodrx.com/) that offers discounted coupons.

Methods to exclude or treat organic dyspepsia
CPT code/example of treatment US $
Helicobacter pylori
 Breath test 83013 374
 Stool 87338 158
 Gastric biopsy by 43239 2751
 EGD
EGD 43235 2635
Clarithromycin triple treatment for Hp Pantoprazole (40 mg QD)
Clarithromycin (500 mg BID)
Amoxicillin (1 g BID)
9.5 / 2 weeks
10.5 / 2 weeks
13 / 2 weeks
Bismuth quadruple therapy for Hp Pantoprazole (40 mg QD)
Bismuth subsalicylate (524 mg QID)
Tetracycline (500 mg, QID)
Metronidazole (250 mg QID)
9.5 / 2 weeks
8.3 / 2 weeks
50.2 / 2 weeks
11.5 / 2 weeks
Methods for diagnosis and treatment of functional dyspepsia
CPT code/example of treatment US $
Gastric emptying scintigraphy 78264 1962
Gastric emptying breath test 0106U 150 to 450
Gastric Accommodation test 78262 2261
Proton pump inhibitor Pantoprazole (40 mg BID) 19 / month
H2 receptor antagonist Famotidine (20 mg BID) 11.7 / month
Metoclopramide Metoclopramide (5 mg TID) 4.0 / month
Central Neuromodulator: TCA or SSRI Amitriptyline (25 mg QD) 1.6 / month
Pyridostigmine Pyridostigmine (60 mg TID) 17.0 / month
Buspirone Buspirone (5 mg TID) 2.7 / month
Ondansetron Ondansetron (4 mg TID) 25.4 / month
Promethazine Promethazine (12.5 mg QID) 13.5 / month
FDgard 2 tabs TID 149.7 / month

BID: twice a day; CMS: Centers for Medicare and Medicaid services; CPT: Current Procedural Terminology; EGD: Esophagogastroduodenoscopy; Hp: helicobacter pylori; QD: once a day; QID: four times a day; NA: not available; SSRI: selective serotonin reuptake inhibitor; TCA: tricyclic antidepressants; TID: three times a day.